Socio-demographic and health associations with body mass index at the time of enrollment in HIV care in Nyanza Province, Kenya

Datos Bibliográficos

ID19439844
AutoresJason M Nagata (0000-0002-6541-0604, University of California, San Francisco, autor de correspondencia), Kathryn J Fiorella (0000-0002-8625-2473, University of California, Berkeley), Sera Lewise Young (0000-0002-1763-1218, Cornell University), Oscar D Otieno (Kenya Medical Research Institute), Ijaa Kapule (Kenya Medical Research Institute), Elizabeth A Bukusi (0000-0002-2031-2808, University of California, San Francisco), Craig R Cohen (0000-0001-8654-6634, University of California, San Francisco)
Año2013
Volumen25
Número12
Páginas1491-1498
Fecha de publicación2013-05-07
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaAIDS Care (JOURNAL)
Identificadores de la revistaISSN: 0954-0121 • E-ISSN: 1360-0451
EditorialInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2013.775399
PMID23464799
PMCIDPMC3708981
OpenAlexW2123616831
IdiomaEN
Citas recibidas3
Referencias citadas18

Low body mass index (BMI) at the time of enrollment into HIV care has been shown to be a strong predictor of mortality independent of CD4 count. This study investigated socio-demographic associations with underweight (BMI < 18.5) among adults in Nyanza Province, Kenya, upon enrollment into HIV care. BMI, socio-demographic, and health data from a cross-sectional sample of 8254 women and 3533 men were gathered upon enrollment in the Family AIDS Care and Education Services (FACES) program in Nyanza Province, Kenya, between January 2005 and March 2010. Overall, 27.4% of adults were underweight upon enrollment in HIV care. Among each women [W] and men [M], being underweight was associated with younger age (W: adjusted odds ratio [AOR], 2.90; 95% confidence interval [CI], 1.85-4.55; M: AOR, 5.87; 95% CI, 2.80-12.32 for those aged 15-19 compared to ≥50 years old), less education (W: AOR, 2.92; 95% CI, 1.83-4.65; M: AOR, 1.55; 95% CI, 1.04-2.31 for primary education compared to some college/university), low CD4 count (W: AOR, 2.13; 95% CI, 1.50-3.03; M: AOR, 1.43; 95% CI, 0.76-2.70 for 0-250 compared to ≥750 cells/mm(3)), and poor self-reported health status (W: AOR, 1.72; 95% CI, 0.89-3.33; M: AOR, 9.78; 95% CI, 1.26-75.73 for poor compared to excellent). Among all enrollees to HIV care, low BMI was associated with male gender, lower educational attainment, younger age, and poor self-reported health. HIV care and treatment programs should consider using socio-demographic and health risk factors associated with low BMI to target and recruit patients with the goal of preventing late enrollment into care

Body mass index · Confidence interval · Cross-sectional study · Odds ratio · Overweight · Underweight · Demography · HIV-related health complications and treatments · HIV/AIDS Impact and Responses · HIV/AIDS Research and Interventions · Medicine · Gerontology · Internal Medicine